Ragon, Marissa Nicole

Ragon, Marissa Nicole is an individual health care provider with primary practice located at 625 Cleveland Ave Nw , Canton OH 44702. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Ragon, Marissa Nicole can be contacted via phone (330) 455-0374.

Contact Information

Primary practice address
625 Cleveland Ave Nw Canton OH 44702
Phone: (330) 455-0374
Fax: (330) 453-6716
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN.CNP.14944 Ohio

Profile Details

NPI number 1306270251
LBN Legal business name Ragon, Marissa Nicole
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2013
Last updated Sep 6th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306270251 NPPES
Ohio MEDICAID 0090750

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